A Rare Case of Primary Pulmonary Amoebiasis without Gastrointestinal Involvement: A Case Report

Jurnal Respirasi

View Publication Info
 
 
Field Value
 
Title A Rare Case of Primary Pulmonary Amoebiasis without Gastrointestinal Involvement: A Case Report
 
Creator Nugroho, Arie Gradiyanto
Edijono, Edijono
 
Subject Respiratory Medicine; Pulmonary Disease
Amoebiasis; infectious disease; lung abscess; pulmonary amoebiasis.
 
Description Introduction: The main pathogen of amoebiasis is Entamoeba histolytica which is very common in tropical and developing countries, where sanitation, hygiene, and low socio-economic status are major problems. The most common site of infection is the intestinal mucosa. For extraintestinal amoebiasis, the most common sites are the liver, followed by the lungs and brain.Case: A 15-year-old male was presented to the ER with chief complaint of breathlessness for the last 10 days, accompanied by productive coughing with dark brown sputum and pain on lower right chest. The patient had fever while the disease progressed. Gastrointestinal symptoms were denied. Physical examination showed lowered breathing sound on the right lung, dullness on lower right chest, and usage of accessory breathing muscles. USG found heteroechoic lesion of 8x7cm in size suspicious of lung abscess, later on confirmed as Entamoeba histolytica found in sputum sample, while abdominal USG showed no abnormality. The patient was admitted for antibiotic therapy and consultation to cardiothoracic surgeon.Discussion: One of the rarest routes of amoebiasis is primary deposition of cysts to the lungs through aspiration. Pulmonary amoebiasis often causes abscess formation, produces brown-colored sputum called “anchovy sauce”. It is notable that we found one of the rarest cases of amoebiasis infection, where there is a pulmonary infection without any intestinal involvement.Conclusion: Whilst infection of primary pulmonary amoebiasis is very rare, it is still an important etiology to put on the differential diagnosis of pulmonary abscess. Therefore, sputum examination or biopsy is required even when there are no gastrointestinal disturbances.
 
Publisher Faculty of Medicine Universitas Airlangga
 
Contributor
 
Date 2021-09-30
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier https://e-journal.unair.ac.id/JR/article/view/23278
10.20473/jr.v7-I.3.2021.134-138
 
Source Jurnal Respirasi; Vol 7, No 3 (2021): September 2021; 134-138
2621-8372
2407-0831
 
Language eng
 
Relation https://e-journal.unair.ac.id/JR/article/view/23278/15753
 
Rights Copyright (c) 2021 Arie Gradiyanto Nugroho, Edijono
http://creativecommons.org/licenses/by-sa/4.0
 

Contact Us

The PKP Index is an initiative of the Public Knowledge Project.

For PKP Publishing Services please use the PKP|PS contact form.

For support with PKP software we encourage users to consult our wiki for documentation and search our support forums.

For any other correspondence feel free to contact us using the PKP contact form.

Find Us

Twitter

Copyright © 2015-2018 Simon Fraser University Library